脑室腹腔分流术治疗脑积水83例临床分析

目的探讨脑室腹腔分流术治疗脑积水的手术技巧和并发症的防治,以提高手术疗效。方法回顾性分析83例脑积水患者的临床资料,均行脑室腹腔分流术治疗。结果 83例均获随访,平均18月(9月~6年)。术后症状明显改善57例,好转21例,症状无明显改善5例。11例发生术后并发症,其中分流管阻塞4例,术后感染3例,硬膜下血肿1例,硬膜下积液1例,裂隙脑室1例,癫痫1例。结论正确选择分流装置的置放路径,采用规范的手术操作和严格的无菌技术可有效降低脑室腹腔分流术后并发症的发生,提高临床疗效。

Clinical Analysis of Ventriculoperitoneal Shunt for Hydrocephalus: 83 Cases Report

Objective To explore the surgical techniques and prevent the complication of ventriculoperitoneal shunt for treating of hydrocephalus and further to improve the effect of surgical treatment.Method The clinical data of 83 hydrocephalus patients performed ventriculoperitoneal shunt were analyzed retrospectively.Results After the operation,the symptoms were significantly improved in 57 cases,improved in 21 cases,and indistinctly ameliorated in 5 cases.Postoperative complications were found in 11 cases,including 4 of shunt apparatus blockage,3 of postoperative shunt infection,1 of subdural hematoma,1 of subdural effusion,1 of slit ventricle syndrome and 1 of epilepsy.Conclusion The measures of proper selection of shunt placement approach,canonical operative procedures and strict aseptic technique would be the keys to reduce postoperative complications and increase the surgical therapeutic effects efficiently for hydrocephalus cases treated by ventriculoperitoneal shunt.